>> well, the whole purpose of the independent payment advisory board is to reduce medicare spending by lowering the prices that medicare pays to doctors and hospitals and changing the way it pays these doctors and hospitals. and supporters of the law acknowledge this, that it's supposed to set prices. well, the power to set price is is the power to ration. if the government sets the prices so low that no doctors will provide a certain service, then you are rationing care. but the ipad, as we call it, can even go beyond that. it can, despite a prohibition on rationing that's in the statute, it can even tell seniors you're not going to get specific treatments. and the reason is that that prohibition on rationing is absolutely unenforceable. it is toothless. it can do whatever it wants, and it's going to take 60 votes in the that the to overrik what th. >> is there some political check? in other words, they start denying seniors a bunch of end-of-life care, and the american people are going to rise up. >> well, first, i want to clarify something. the whole idea of death panels is a very i